AB133-ASA1-AA2,124,823
40.02
(17) (n) Notwithstanding par. (d), each participant who is a sex offender
24registration specialist on or after the effective date of this paragraph .... [revisor
1inserts date], shall be granted creditable service as a protective occupation
2participant for all covered service as a sex offender registration specialist that was
3earned on or after the effective date of this paragraph .... [revisor inserts date], but
4may not be granted creditable service as a protective occupation participant for any
5covered service as a sex offender registration specialist that was earned before the
6effective date of this paragraph .... [revisor inserts date], unless that service was
7earned while the participant was classified under sub. (48) (a) and s. 40.06 (1) (d) as
8a protective occupation participant.".
AB133-ASA1-AA2,124,1911
40.02
(20) "Dependent" means the spouse, minor child, including stepchildren
12of the current marriage dependent on the employe for support and maintenance, or
13child of any age, including stepchildren of the current marriage, if handicapped to
14an extent requiring continued dependence. For group insurance purposes only, the
15department may promulgate rules with a different definition of "dependent" than the
16one otherwise provided in this subsection for each group insurance plan
, except that
17the department may not promulgate a rule that includes within the definition of
18"dependent" any adult who resides with an employe and who is not related to the
19employe or the employe's spouse by blood, marriage or adoption.".
AB133-ASA1-AA2,125,622
40.02
(28) "Employer" means the state, including each state agency, any
23county, city, village, town, school district, other governmental unit or
24instrumentality of 2 or more units of government now existing or hereafter created
1within the state and any federated public library system established under s. 43.19
2whose territory lies within a single county with a population of 500,000 or more
, a
3local exposition district created under subch. II of ch. 229 and a family care district
4created under s. 46.2895, except as provided under ss. 40.51 (7) and 40.61 (3)
, or a
5local exposition district created under subch. II of ch. 229 and subch. X. Each
6employer shall be a separate legal jurisdiction for OASDHI purposes.
AB133-ASA1-AA2, s. 931c
7Section 931c. 40.02 (28) of the statutes, as affected by 1999 Wisconsin Act ....
8(this act), section 931b, is amended to read:
AB133-ASA1-AA2,125,179
40.02
(28) "Employer" means the state, including each state agency, any
10county, city, village, town, school district, other governmental unit or
11instrumentality of 2 or more units of government now existing or hereafter created
12within the state and any federated public library system established under s. 43.19
13whose territory lies within a single county with a population of 500,000 or more, a
14local exposition district created under subch. II of ch. 229 and a family care district
15created under s. 46.2895, except as provided under ss. 40.51 (7) and 40.61 (3)
and
16subch. X. Each employer shall be a separate legal jurisdiction for OASDHI
17purposes.".
AB133-ASA1-AA2,126,1023
40.02
(48) (c) In s. 40.65, "protective occupation participant" means a
24participating employe who is a police officer, fire fighter, an individual determined
1by a participating employer under par. (a) or (bm) to be a protective occupation
2participant, county undersheriff, deputy sheriff, state probation and parole officer,
3county traffic police officer, conservation warden, state forest ranger, field
4conservation employe of the department of natural resources who is subject to call
5for forest fire control or warden duty, member of the state traffic patrol, state motor
6vehicle inspector, university of Wisconsin system full-time police officer, guard or
7any other employe whose principal duties are supervision and discipline of inmates
8at a state penal institution, excise tax investigator employed by the department of
9revenue, person employed under s. 61.66 (1),
or special criminal investigation agent
10employed by the department of justice
or sex offender registration specialist.
AB133-ASA1-AA2,126,1412
40.02
(53m) "Sex offender registration specialist" means an employe of the
13department of corrections whose primary duties require direct and ongoing contact
14with persons registered under s. 301.45 and with the public under s. 301.46.".
AB133-ASA1-AA2,126,2221
40.22
(2) (c) The employe is excluded from participation by s.
40.02 (54) (a) or 2240.21 (3) or (4).".
AB133-ASA1-AA2,127,63
40.51
(8) Every health care coverage plan offered by the state under sub. (6)
4shall comply with ss. 631.89, 631.90, 631.93 (2), 632.72 (2), 632.746 (1) to (8) and (10),
5632.747, 632.748, 632.85, 632.853, 632.855, 632.87 (3) to (5),
632.872, 632.895 (5m)
6and (8) to (13) and 632.896.
AB133-ASA1-AA2,127,108
40.51
(8m) Every health care coverage plan offered by the group insurance
9board under sub. (7) shall comply with ss. 632.746 (1) to (8) and (10), 632.747,
10632.748, 632.85, 632.853, 632.855
, 632.872 and 632.895 (11) to (13).".
AB133-ASA1-AA2,127,1713
40.41
(6) (b) Services performed by
a student or a member of a board or
14commission, except members of governing bodies, in a position or office which does
15not normally require actual performance of duty for at least 600 hours in each
16calendar year. For purposes of this paragraph, a "board" or "commission" is a body
17referred to in the statutes as a board or commission.
AB133-ASA1-AA2,127,2119
40.41
(6) (c) Service performed in the employ of a school, college or university,
20if the service is performed by a student who is enrolled and regularly attending
21classes at the school, college or university.".
AB133-ASA1-AA2,128,4
140.56 Prohibited insurance coverage. The state may not provide any
2insurance coverage under this subchapter to an adult who resides with an employe
3and who is not related to the employe or the employe's spouse by blood, marriage or
4adoption.".
AB133-ASA1-AA2,128,117
40.65
(4w) A sex offender registration specialist who becomes a protective
8occupation participant on or after the effective date of this subsection .... [revisor
9inserts date], is not entitled to a duty disability benefit under this section for an
10injury or disease occurring before the effective date of this subsection .... [revisor
11inserts date].".
AB133-ASA1-AA2,128,14
13"
Section 944ym. Subchapter X of chapter 40 [precedes 40.98] of the statutes
14is created to read:
AB133-ASA1-AA2,128,1816
Subchapter X
17
Private employer health
18
Care coverage
AB133-ASA1-AA2,128,19
1940.98 Health care coverage. (1) In this subchapter:
AB133-ASA1-AA2,128,2420
(ag) "Abortion" means the use of an instrument, medicine, drug or other
21substance or device with intent to terminate the pregnancy of a woman known to be
22pregnant or for whom there is reason to believe that she may be pregnant and with
23intent other than to increase the probability of a live birth, to preserve the life or
24health of the infant after live birth or to remove a dead fetus.
AB133-ASA1-AA2,129,1
1(ar) "Board" means the private employer health care coverage board.
AB133-ASA1-AA2,129,52
(b) "Dependent" means a spouse, an unmarried child under the age of 19 years,
3an unmarried child who is a full-time student under the age of 21 years and who is
4financially dependent upon the parent, or an unmarried child of any age who is
5medically certified as disabled and who is dependent upon the parent.
AB133-ASA1-AA2,129,136
(c) "Employe" means any person who receives earnings as payment for personal
7services rendered for the benefit of any employer including officers of the employer.
8An employe is considered to have separated from the service of an employer at the
9end of the day on which the employe last performed services for the employer, or, if
10later, the day on which the employe-employer relationship is terminated because of
11the expiration or termination of leave without pay, sick leave, vacation or other leave
12of absence. A person shall not be considered an employe if any of the following
13applies:
AB133-ASA1-AA2,129,1514
1. The person is employed under a contract involving the furnishing of more
15than personal services.
AB133-ASA1-AA2,129,1916
2. The person is customarily engaged in an independently established trade,
17business or profession providing the same type of services to more than one employer
18and the person's services to an employer are not compensated for on a payroll of that
19employer.
AB133-ASA1-AA2,129,2120
3. The person is a patient or inmate of a hospital, home or institution and
21performs services in the hospital, home or institution.
AB133-ASA1-AA2,129,2422
(d) "Employer" means any person doing business or operating an organization
23in this state and employing at least 2 employes. "Employer" does not include an
24employer as defined in s. 40.02 (28).
AB133-ASA1-AA2,130,2
1(e) "Health care coverage program" means the health care coverage program
2established under sub. (2) (a).
AB133-ASA1-AA2,130,33
(f) "Insurer" has the meaning given in s. 600.03 (27).
AB133-ASA1-AA2,130,54
(g) "Nontherapeutic abortion" means an abortion that is not directly and
5medically necessary to prevent the death of the woman.
AB133-ASA1-AA2,130,13
6(2) (a) 1. The department shall design an actuarially sound health care
7coverage program for employers that includes more than one group health care
8coverage plan and that provides coverage beginning not later than June 30, 2002.
9The health care coverage program shall be known as the "Private Employer Health
10Care Purchasing Alliance". In designing the health care coverage program, the
11department shall consult with the office of the commissioner of insurance. The
12health care coverage program may not be implemented until it is approved by the
13board.
AB133-ASA1-AA2,131,214
2. The department shall solicit and accept bids and make every reasonable
15effort to enter into a contract for the administration of the health care coverage plans
16under the program, based on criteria established by the board. If the department has
17not entered into a contract for the administration of the health care coverage plans
18under the program for coverage to begin before June 30, 2002, the department shall
19submit a report to the cochairpersons of the joint committee on finance specifying the
20department's reasons for not entering into a contract. After submitting the report
21to the cochairpersons of the joint committee on finance and after receiving the
22approval of the board, the department shall provide all administrative services
23necessary for the provision of the health care coverage plans under the program.
24During the period that the department is providing the administrative services, the
1department shall continue to make every reasonable effort to contract for the
2administration of the health care coverage plans under the program.
AB133-ASA1-AA2,131,63
3. The administrator selected under subd. 2., or the department if no
4administrator has been selected under subd. 2., shall enter into contracts with
5insurers who are to provide health care coverage under the health care coverage
6program.
AB133-ASA1-AA2,131,87
4. The department shall solicit and accept bids and shall enter into a contract
8for marketing the health care coverage program.
AB133-ASA1-AA2,131,109
5. The department shall maintain a toll-free telephone number to provide
10information on the health care coverage program.
AB133-ASA1-AA2,131,1411
(b) 1. Except as provided in subd. 2., every health care coverage plan under the
12health care coverage program is subject to the provisions of chs. 600 to 646 that apply
13to group health benefit plans, as defined in s. 632.745 (9), to the same extent as any
14other group health benefit plan, as defined in s. 632.745 (9).
AB133-ASA1-AA2,131,1815
2. Notwithstanding ss. 632.85, 632.87 (2), (3), (4) and (5), 632.89 and 632.895
16(2), (3), (4), (5), (5m), (6), (7), (8), (9), (10), (11), (12) and (13), and subject to subd. 3.,
17the department may include in the health care coverage program one or more health
18care coverage plans that do not include one or more of the following coverages:
AB133-ASA1-AA2,131,2019
a. Coverage related to treatment of an emergency medical condition, as
20required under s. 632.85.
AB133-ASA1-AA2,131,2221
b. Coverage of vision care provided by an optometrist, as required under s.
22632.87 (2).
AB133-ASA1-AA2,131,2323
c. Coverage of chiropractic services, as required under s. 632.87 (3).
AB133-ASA1-AA2,131,2524
d. Coverage of the diagnosis and treatment of a condition by a dentist, as
25required under s. 632.87 (4).
AB133-ASA1-AA2,132,2
1e. Coverage of Papanicolaou tests performed by a nurse practitioner, as
2required under s. 632.87 (5).
AB133-ASA1-AA2,132,43
f. Coverage of the treatment of alcoholism and nervous and mental disorders,
4as required under s. 632.89.
AB133-ASA1-AA2,132,55
g. Coverage of home care, as required under s. 632.895 (2).
AB133-ASA1-AA2,132,66
h. Coverage of skilled nursing care, as required under s. 632.895 (3).
AB133-ASA1-AA2,132,77
i. Coverage of kidney disease treatment, as required under s. 632.895 (4).
AB133-ASA1-AA2,132,88
j. Coverage for a newly born child, as required under s. 632.895 (5).
AB133-ASA1-AA2,132,99
k. Coverage for a child of a covered child, as required under s. 632.895 (5m).
AB133-ASA1-AA2,132,1010
L. Coverage of diabetes treatment, as required under s. 632.895 (6).
AB133-ASA1-AA2,132,1111
m. Maternity coverage, as required under s. 632.895 (7).
AB133-ASA1-AA2,132,1212
n. Coverage of mammograms, as required under s. 632.895 (8).
AB133-ASA1-AA2,132,1413
o. Coverage of prescription medication for the treatment of human
14immunodeficiency virus infection, as required under s. 632.895 (9).
AB133-ASA1-AA2,132,1515
p. Coverage of blood lead tests for children, as required under s. 632.895 (10).
AB133-ASA1-AA2,132,1716
q. Coverage of treatment for the correction of temporomandibular disorders,
17as required under s. 632.895 (11).
AB133-ASA1-AA2,132,1918
r. Coverage related to hospital or ambulatory surgery center charges and
19anesthetics associated with dental care, as required under s. 632.895 (12).
AB133-ASA1-AA2,132,2120
s. Coverage of breast reconstruction incident to a mastectomy, as required
21under s. 632.895 (13).
AB133-ASA1-AA2,132,2322
3. The department shall ensure that at least one health care coverage plan
23includes all of the coverages specified in subd. 2.
AB133-ASA1-AA2,133,1124
(bm) No health care coverage plan under the health care coverage program may
25provide coverage of a nontherapeutic abortion except by an optional rider or
1supplemental coverage provision that is offered and provided on an individual basis
2and for which an additional, separate premium or charge is paid by the individual
3to be covered under the rider or supplemental coverage provision. Only funds
4attributable to premiums or charges paid for coverage under the rider or
5supplemental coverage provision may be used for the payment of any claim, and
6related administrative expenses, that relates to a nontherapeutic abortion. Such
7funds may not be used for the payment of any claim or administrative expenses that
8relate to any other type of coverage provided by the insurer under the health care
9coverage plan. Nothing in this paragraph requires an insurer or an employer to offer
10or provide coverage of an abortion under a health care coverage plan under the health
11care coverage program.
AB133-ASA1-AA2,133,1412
(c) The health care coverage program established under par. (a), or any health
13care coverage plan included in the program, may not be combined with any health
14care coverage plan under subch. IV.
AB133-ASA1-AA2,133,1815
(d) All insurance rates for health care coverage under the program shall be
16published annually in a single publication that is made available to employers and
17employes. The rates may be listed by county or by any other regional factor that the
18board considers appropriate.
AB133-ASA1-AA2,133,2019
(e) All plans under the health care coverage program shall have an enrollment
20period that is established by the board.
AB133-ASA1-AA2,134,321
(f) 1. If the department has selected an administrator under par. (a) 2., the
22administrator shall charge employers who participate in the health care coverage
23program a fee to cover the cost of administrative services for the health care coverage
24program. The administrator shall reimburse the department for the expenses
25incurred by the department in designing, marketing and contracting for
1administrative services for the program. All moneys received by the department
2under this subdivision shall be credited to the appropriation account under s. 20.515
3(2) (g).
AB133-ASA1-AA2,134,94
2. If the department has not selected an administrator under par. (a) 2., the
5department shall charge employers who participate in the health care coverage
6program a fee to cover the costs incurred by the department in designing, marketing
7and providing administrative services for the health care coverage program. All
8moneys received by the department under this subdivision shall be credited to the
9appropriation account under s. 20.515 (2) (g).
AB133-ASA1-AA2,134,1310
(g) The department may not sell any health care coverage under the health care
11coverage program to an employer or enroll any employe in the health care coverage
12program, but the department shall make information about the program available
13to employers on a statewide basis.